City of Jay

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

200 Issued in OK

Legal business name

CITY OF JAY

Practice address

211 S. 5TH St
Jay, OK 74346

Phone

(918) 253-6198

Fax

(918) 253-2286

NPI assigned

Jul 18, 2006

Last updated

May 10, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick Dakota Jennings, NRP

Title

Director of EMS

Phone

(918) 253-6198

Specialties & licenses 2

Addresses

Other names 1

• City of Jay EMS Former legal business name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1639198989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 348",
            "city": "JAY",
            "state": "OK",
            "postal_code": "743460348",
            "telephone_number": "918-253-4148",
            "fax_number": "918-253-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S. 5TH ST",
            "city": "JAY",
            "state": "OK",
            "postal_code": "74346",
            "telephone_number": "918-253-6198",
            "fax_number": "918-253-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF JAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "DAKOTA",
        "authorized_official_title_or_position": "DIRECTOR OF EMS",
        "authorized_official_telephone_number": "918-253-6198",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NRP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "200",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Jay EMS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "City of Jay EMS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mary Kristina Chance, LADC, LCSW
• Alexis Nicole Chancellor, RD/LD
• Cherokee Nation (Sam Hider Health Center RX)
• Cherokee Nation
• Aimee Rachelle Cherry, RDH
• Community Health Center of Northeast Oklahoma, Inc. (CHCNEO Jay Family Medicine Clinic)
• Emily Cook, DC
• Chancie Marie Cooper
• Melissa Cooper
• Elizabeth Ellen Cotrill

• Land Ambulance in Jay, OK
• Providers in Jay, OK by specialty
• Land Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.